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KYNDAL L CLARK LCSW
NPI 1518637404
Social Worker - Clinical in Jonesboro, AR

Active since September 14, 2021PECOS Enrolled
1815 PLEASANT GROVE RD, JONESBORO, AR 72405(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2024, Sep 14, 2021 (2 updates tracked since 2021).

About Kyndal L Clark Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYNDAL L CLARK LCSW (NPI 1518637404) is an individual clinical provider in Jonesboro, Arkansas and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518637404
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKYNDAL L CLARKCredential: LCSW
Location Address1815 PLEASANT GROVE RDJonesboro, AR 72405-7870
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 933-6886
Fax(870) 933-9395
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
Last NPPES UpdateDecember 11, 20242 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1518637404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1815 PLEASANT GROVE RD, Jonesboro, AR 72405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyndal L Clark Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyndal Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arisa Health, Inc.
3.7 mi
Community/Behavioral Health
3700 ACCESS RD
Jonesboro, AR 72401
  • Reassigned Medicare billing, Arkansas enrollment
  • 140 clinicians in this Medicare group
NPI 1306532767 (870) 972-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAWEL KRZYSZTOF KURYLO M.D.
Psychiatry & Neurology (Psychiatry)
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
TREBOR WELLINGTON BOSLEY LPC
Counselor (Professional)
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
SADIE FLYNN SAWYERS
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
DEVON TAYLOR WAGNER QBHP
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
MALLORY STRAUB LAC
Counselor
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
BRENNON KEITH DICKSON MHPP
Social Worker
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
ANGELA HANUSOWSKI LCSW
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886
AMBER SCOTT QBHP
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72405
Craighead County (870) 933-6886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyndal Clark's NPI number?

The NPI number for Kyndal Clark is 1518637404. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Kyndal Clark located?

Kyndal Clark practices at 1815 Pleasant Grove Rd, Jonesboro, AR 72405. The listed phone number is (870) 933-6886.

What is Kyndal Clark's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kyndal Clark enrolled in Medicare?

Yes. Kyndal Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kyndal Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyndal Clark reassigns Medicare benefits to Arisa Health, Inc. (Jonesboro, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyndal Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyndal Clark accept?

Health plans from Health Advantage and Octave list Kyndal Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyndal Clark was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.